View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
4040-0018
ICR Reference No:
201701-4040-001
Status:
Historical Active
Previous ICR Reference No:
201605-4040-001
Agency/Subagency:
EGOV
Agency Tracking No:
Title:
Tangible Personal Property Report; Standard Forms 428, 428(a), 428(b), 428(C), and 428(S)
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/15/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/14/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2020
36 Months From Approved
Responses
2,000
0
0
Time Burden (Hours)
2,000
0
0
Cost Burden (Dollars)
60,000
0
0
Abstract:
The Tangible Personal Property Report (SF-428) is a standard form designed to assist recipients when they are required to provide a Federal agency with information related to federally owned property, or equipment and supplies (tangible personal property) acquired with federal assistance award funds. The information collected is used by the awarding agencies to determine appropriate disposition for federally owned property and equipment and supplies acquired with grant funds when the federal government has retained an interest in the property. For example, upon completion of an award, a recipient must report federally owned property to the awarding agency for further agency reutilization.
Authorizing Statute(s):
PL:
Pub.L. 109 - 282 2590
Name of Law: Federal Financial Accountability and Transparency Act of 2006
PL:
Pub.L. 106 - 107 468
Name of Law: Federal Financial Assistance Management Improvement Act of 1999
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 6583
01/19/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 15525
03/29/2017
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
SF-428, SF-428-A, SF 428-B, SF-428-C
Standard Form 428, Annual Report and Instructions-A
,
Standard Form 428-C- Disposition Request Form and Instructions-C
,
Tangible Personal Property Report and Instructions
,
Standard Form 428-B- Final Report and Instructions-B
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
2,000
0
0
-14,777
0
16,777
Annual Time Burden (Hours)
2,000
0
0
-31,347
0
33,347
Annual Cost Burden (Dollars)
60,000
0
0
60,000
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
As the IC shall be classified as a common form, HHS is only responsible for reporting the agency's burden hours. Other Federal agencies are required to provide their burden hours if they choose to use the SF-428 Tangible Personal Property Report.
Annual Cost to Federal Government:
$78,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Ed Calimag 202 690-7569 Ed.Calimag@hhs.gov
Common Form ICR:
Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage:
The form will be classified as a common form as it will be used by more than one agency.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
DOT/FAA
202004-2120-020CF
FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - Tangible Property Forms Request
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c), Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
USDA/FS
201802-0596-014CF
Tangible Personal Property Report and Instructions (SF-428, 428A, 428B, 428C, 428S)
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
USDA/AMS
201910-0581-003CF
Tangible Personal Property Final Report::
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
DOT/FAA
202004-2120-011CF
FAA Aircraft Pilots Workforce Development Grant Program - Tangible Property Forms Request
Active
Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c), Tangible Personal Property Report, Standard Forms 428, 428(a), 428(b) and 428(c)
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/14/2017
An official website of the United States government
The .gov means it's official.
The site is secure.
